CIO Judy Feldman of Independent Health, a leading regional based health insurance provider, shares her vision for handling the dynamic changes in today’s healthcare industry.
Watch the webinar replay at www.kalido.com/5-challenges-of-data-mart-consolidation.htm
5. Independent Health – A Snapshot
• Not-for-profit health plan established in 1980
– Based in Buffalo, N.Y.; 900 employees
– Offers commercial group health plans; Medicare Advantage;
self-funded plan administration
– More than 365,000 members in Western New York and across
the nation
• Subsidiaries include
http://www.independenthealth.com
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6. Western New York market
• Serving eight western counties of New York
• Total WNY population: 1.5 M residents
• IH commercial marketshare: 30%
• IH Medicare marketshare: 49%
• Major competitors:
– Blue Cross/Blue Shield of WNY
– Univera Healthcare (Excellus)
– MVP Healthcare
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7. Independent Health – A Snapshot
• Highest rated health plan in the nation for customer service:
NCQA Quality Compass® 2009 and 2010
• J.D. Power and Associates ranked Independent Health “Highest
in Member Satisfaction among Commercial Health Plans in the
New York/New Jersey Region” (2010 and 2011)
• Named one of the best companies to work for in New York:
2008 – 2012 (NYS-SHRM; Business Council of NYS)
• 2011 CMS Star Ratings:
– Independent Health’s HMO and PPO Part C (Medical Plans) and
Part D (Drug Plans) are rated 4.5 out of 5 stars
Independent Health Association received the highest numerical score among commercial health plans in the New York-New Jersey region in the proprietary J.D. Power and
Associates 2010 U.S. Member Health Insurance Plan Studysm. Study based on 33,986 total member responses, measuring 12 plans in the New York-New Jersey region
(excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed November-December 2009. Your experiences
may vary. Visit jdpower.com.
*The source for data contained in this publication is Quality Compass® 2010 and is used with the permission of the National Committee for Quality Assurance (NCQA).Quality
Compass 2010 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically
disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of
the Agency for Healthcare Research and Quality (AHRQ).
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8. Healthcare Payor Challenges
• Managing health costs – need to bring down the trend of rising
medical costs
• Increased federal and state regulations (prior approval)
• Meeting demands of health care reform (Exchanges)
• Shrinking market in Western New York
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9. Information Evolution
Business Drivers Information-Driven Solution
• Transformation from claims • Integrate and deliver disparate
processing to member-centric data through a single source
(EDW)
• Enable high quality care while
reducing administrative spend • Support high performance,
scalable tools and appliances
• Usage of Analytical data to make
to meet the business need
a positive impact on the
member’s quality of life • Stronger, more secure
infrastructure to better support
• Serve the Customer with quick
the systems
and secure access of Member
information • Centralized data for 360 degree
view of Customer
• Member Engagement to enable
timely decision-making • Enable Analytics with better
tools and value added
• Reduce Time to Market of new
information to serve customer
products and services
proactively
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10. Tool Selection
Enterprise Data Warehouse
• Agile Data Warehouse builder
• Master Data Management
Oracle Exadata Database Machine
• Data Warehouse
• OLTP applications
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11. Why Kalido & Oracle Exadata
• Kalido benefits
– Business driven model – JAD sessions with
business
– Adaptive for quick business changes Initial tests indicate
– Enable business to maintain Reference data (test environment):
(MDM) to improve Data Quality, Transparency
& Auditability • Kalido runs 2.5x
faster on Exadata
• Oracle Exadata benefits
• Exadata with
– Consolidation of Database, OS and Storage to compression
single Server performs over 30%
– Reduction of resources for Design, Build and faster data loads
Maintenance than Exadata
– Results in Cost Reduction uncompressed.
– Consolidation of OLTP/OLAP databases to the
single platform • Storage space gain
of about 20%
– High Performance in Data Loads and Data
retrieval
– Compression helps reduce the disk storage
– High Availability with a built in failover system
– Strong Encryption
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Today’s session is about data mart consolidation. We’ll start with a high level overview of the issues companies face when migrating and consolidating data marts, and mention the top 5 challenges, then we’ll talk about how Kalido can address those challenges. We’re launching a new version of our product today which is key to meeting these challenges, and Lovan will be showing us a short demo to give you an idea of how we can tackle this problem. As part of our product launch we’re supporting Oracle Exadata, so we’ll talk to Patrick about some of the key attributes of the Oracle Exadata Database Machine that make it appropriate for such a consolidation. We welcome your questions throughout our discussion. So, at any time during the webcast please type in your questions in the chat box.But to learn more about you, let’s do a quick POLL: I’m interested in DMC because:
As we shift from trial and error medicine to....The kinds of systems we need to support these concepts changes to....Domain specific analytics – generic BI tools only get you so far
Oracle spent a lot of money pulling the features together: Testing, tuning, re-testing, re-tuning to get a stack that we believe performs extraordinarily well and that is truly integratedEven if you don’t care about cloud, standardization, java performance, etc you still get a HUGE up-front cost savingsThis is work they would have had to do themselves, and it is very expensive and time consuming work to doOracle has done all the work of putting the Java Middleware Stack together with the listed components - ALL WORKING OUT OF THE BOX!
Exadata Smart Scans run more complex operations in storageJoin filteringIncremental backup filteringI/O prioritizationStorage IndexingDatabase level securityOffloaded scans on encrypted dataData Mining Model Scoring10x reduction in data sent to DB servers is commonHybrid Columnar CompressionSpeed Optimized Query Mode for Data Warehousing 10X compression typical Runs faster because of Exadata offload!Space Optimized Archival Mode for infrequently accessed data 15X to 50X compression typicalExadata Smart Flash Cache Over 1.5 million IO/sec from SQL (8K)Sub-millisecond response times with 75 GB/sec query throughputFull DB Machine X2-2 has 5X More I/Os than 1000 Disk Enterprise Storage ArraySecure Database MachineMoves decryption from software to hardware Over 5x fasterQueries decrypt data at hundreds of Gigabytes/second
Exa allows easy expansion within and between racks.A quarter rack can be upgraded to a half rack. A half rack can be upgraded to a full rack.Two half racks can also be connected together to form the equivalent of a full rack. This is sometimes useful in data centers with weight or heat density restrictions.Once a full rack is deployed it can be increased in half rack size increments. For example a full rack grows to 1.5 racks, then to 2 racks, then to 2.5 racks.Equipment can be mixed across hardware generations. For example a half rack can be grown to a full rack using the next generation of servers to fill out the rack.And there is elasticity within the machines as well.
Now let’s start to talk about what’s getting in the way of being agile with the current toolsets people use for data warehousing.Imagine a business event – such as a reorganization, a competitive move, an acquisition or something else of a strategic nature. Ideally the sooner you can get the information you need to respond, the more business value or benefit there is. So if you make an acquisition, the longer you wait to make decisions about cutting costs and running redundant processes, the longer you pay those costs and the less is the business value from the acquisition. What does our limited IT staff have to do to enable decision making? They need to figure out what’s required, then model and design the changes or additions, then find, acquire and integrate the data from various data sources, then configure the data for use by your BI tool, and test it and release it into production. As time goes on, the business value drops. This curve is representative of what happens in a traditionally developed data warehouse, where a number of tools are used along the way, and the area under the curve represents the increasing costs to the business as time goes on.Yet, you can’t skip any of these steps.
So what you have to do is spend less time on these steps, to try to move up the curve to the left, so you can enable decision making sooner and therefore maximize the business benefit from the event.What we’re going to talk about later is how Kalido delivers this, whether in a MSFT environment or another.
Now it turns out that we know approximately what the relative effort is in each of these steps. The shaded are here represents about 80% of the total project effort, and by far the largest area is in the data integration. This step is typically done using an ETL tool, such as Informatica, IBM, or the ones that come with the databases such as Oracle and Microsoft. These tools do a great job in automating the mechanics of the integration process, yet they require significant manual coding and configuration to be used properly. And they get used in the design phase, the data integration phase and the data access and BI prep phase. But other tools are used there as well. So not only does a midsize company with relatively fewer IT resources need to integrate data, they also likely have to integrate a set of tools.
Kalido v9 further reduces the need for separate purpose-built ETL tools to accomplish data integration related tasks.You still do those tasks but Kalido automates them and delivers agility to keep pace with requirements and deliver much fasterAs a result, you don’t need separate ETL tools – save ETL software maintenance costs, don’t need to buy new ETL licenses for additional DW/DM projects, reduce skill requirements
Key message for this release; what’s newOverall KIE messaging – high quality data foundation for analytics in 90 days or less, built right, built fast, built to last – still applies!
In v9 we have further extended our automation so that it touches on all these areas – making the architecture therefore simpler, easier and less expensive to maintain and to deliver business value faster.Kalido can deliver in a small fraction of the time.Automation.Huge benefit of Kalido to the development team that struggles to deliver value using traditional methods to satisfy business needs because these things must be handled manually.
Key message for this release; what’s newOverall KIE messaging – high quality data foundation for analytics in 90 days or less, built right, built fast, built to last – still applies!
So with that let’s turn to Q&A
Check list…Customer has been briefed on Exadata Technology and we feel there is a reasonable fitCustomer has been briefed on EX-CITE’s and expectations have been set in terms of participation and outcomesWe have ensured sponsorship and participation from CxO, LOB, and ITWe have rounded up the complete Oracle team resources (TSM/SC/XPD)Form filled out online (Exadata Resource Center)
John: OK that’s about all the time we have for today’s event. As far as next steps for our audience, here are some things you can read and do to learn more and to network with other Kalido customers.First, everyone will receive a copy of our new white paper entitled The Next Gen of DI for DW which discusses how Kalido delivers faster time to value compared to traditional warehouse development approaches. Don’t forget to tune in to the webcast with independent health on Feb 7 to learn more about how a mid-sized organization is dealing with a rapidly changing information landscape and the need for better information. And to read more from Kalido on this and other topics, you can check out my blog that is specific to the KIE, you can follow @kalido on twitter, and you can join the Kalido Connections community, which is also accessible from Kalido.com You can always reach us via telephone, too. Well that’s it for today, thanks to our panelists Patrick Mullins from Oracle and Lovan Chetty from Kalido. Thank you for attending.